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36-129 (3) i // PERMIT APPLICATION CHECK LIST PAGE 274 PLOT / 9 ZONE 4 '� E`S NO DATE 1 . ZONING FORM APPLICATION `� t:5l y 2 . PERMIT APPLICATION C_- 3 . OWNER OCCUPANT STATEM 'T LIC . # IF NOT L/ 4 . �3 SETS OF P S PLOT PL N � 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER VAI BIL T FORMS 8 . REMODELING INTERIOR ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN AWNING 2 . PERMIT FEE - -CHECK ONLY - MONEY ORDER 4�"-71( C/" 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : G of wart 11alltptall .4 ASS SCII liar Ito " z DEPARTWNT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass, 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: Z ss 7 (Map) (Parcel) (subdivision) HOMEOWNER: /✓'rP�/ /" , . �/�✓/% /✓ �✓i/�C (Name & Address) J� _ f / (Home Phone) (Work Phone) The current exemption for "homeownpr,s" -W s extended to include Owner-occupied Dwellings of one ( 1 ) or two (2) families and to allow such homeowner to engage an individual for hire who doeG not possess a __- license, provided that the owner acts as supervisor.' CMR780 Section 109. 1 .1 DEFINITION OF HOMEOWNER: Person s ) who own a parcel of land on which he/she resided or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time , during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers ' Compensation) and Chapter 153 (Li-ability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may liable for person (s) you hire to perform work for you under this permit . The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws , and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURES BUILDING PERMIT # �! 1 THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER U SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE UU'� SURVEY AND IS NOT TO BE RECORDED. j; � U! N 8 p c to I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # SURVEYOR: :R -NOTE- D-- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY MORTGAGE LOAN INSPECTION PLAT- RANLAII IZER �3RO�t fES HAROLD L. EATON AND ASSOCIATES, INC. --- REGISTERED PROFESSIONAL LAND SURVEYORS �• �' 235 RUSSELL STREET - HADLEY - MASSACHUSETTS b > o C C A C M a -a °Z � z 5 a � O " tw y I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S�` "� �� Alterations NORTHAMPTON, MASS. Z.3 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 2 7 /���� c �,� = ��`i Lot No. Z- 2. Owner's name /)-7 1W V /99 67/ Address Z'L 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition ox ! z /DC TR C 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- Oct The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. F ( Signature of responsible appicant i Remarks Rt Pp _ sir.► Date Filed �G� q V File No. ZONING PERMIT APPLICATION (§10.2) I. Name of Applicant: ARY %,A, 6, Address: 2�S7 �, 00�s�,�c- <i�;ic" `- ,2Cc - Telephone: 2 . Owner of Property: Address: ? -7 j3� c��s �7�� ��rCCC Telephone: S- �/- c- 5,r 3 . Status of Applicant: ,/owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# Zoning District (s) (include overlay ) O/ Street Address � '� Required 5. Existing Pro osed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L - ` R - - rear i - r 1 i Lot size k gS' 2 Frontage Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Descri ption of Proposed Work/Project: (Use additional sheets if necessary) v; I ,, �_ 9 -2 ' S7c w �% t 7 . Attached Plans: Sketch Plan t, Site Plan , 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 3� Applicant's Signature: - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - THIS SECTION FOR OFFICIAL USE NLY: �Approved as resented ase P /b d on information presented Den 'ed as presented so or 'al: gnatu of uilding I ector NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. 7/92 FXAS • w b Z rQ W O z r-y ►a� � M ° M xjR. ;n F-, y rn CD coo :: CD o c 5 v� rn 14 H M -'j S � duo �• 0 a W s (� �' o c �►y � °, ebb CIQ O �* ID ci a D n C-+ 0= CD d -rl ~ C, w ]. 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